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A Practical Guide to Patient Treatment

Nora Goldschlager, MD; Andrew Epstein, MD; Paul Friedman, MD; Eli Gang, MD; Ryszard Krol, MD, PhD; Brian Olshansky, MD; for the North American Society of Pacing and Electrophysiology (NASPE) Practice Guideline Committee

Arch Intern Med. 2001;161:649-655.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

The potential for interaction between pacemakers and implantable cardioverter/defibrillators (ICDs) and the medical and nonmedical environment, and between these devices and certain cardioactive drugs, has been recognized for years. Whereas a number of experimental and clinical studies have been performed to define some of these interactions, in many instances data are sparse and anecdotal clinical experiences form the basis for decision making and recommendations. Nevertheless, given the proliferation of rhythm-management devices in use in the population today, practitioners may find a guide to management of these patients helpful. This management guideline is therefore offered not as an extensive, literature-based review, but as a framework on which to understand specific types of problems that may be encountered in the . . . [Full Text of this Article]

ELECTROMAGNETIC INTERFERENCE IN PATIENTS WITH IMPLANTED PACEMAKERS AND ICDs

Household Appliances

Airport Security Devices

Cellular Telephones

Electronic Article Surveillance Systems

Medical Sources of EMI

Magnetic Resonance Imaging

METABOLIC AND DRUG EFFECTS ON CARDIAC PACEMAKERS

Metabolic Effects on Myocardial Stimulation

Drug Effects on Cardiac Pacemakers: Antiarrhythmic Drugs

Drug Effects on Defibrillators

Sensing and Detection

Pacing Function

Defibrillation

Beneficial Medications

Dr Epstein has been an investigator for Guidant Corp, Medtronic Inc, St Jude Medical, and Biotronik GmbH & Co. He also chairs the Events Committee for Guidant Corp.

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